Personal Data Request Form "*" indicates required fields Step 1 of 7 14% Name* First Last Address* Street Address Address Line 2 City State / Province / Region Email Address* Which brand did you provide your information to?* Aftermath AmeriSpec Furniture Medic Indoor Science Merry Maids ServiceMaster ServiceMaster Clean ServiceMaster Restore ServiceMaster Recovery Management Two Men and a Truck I declare under penalty of perjury that I am a resident of one of the following states:* California Virginia Type of Request. If you have multiple requests, please submit each request through a new form.* Right to Know- Categories Request to Know- Specific Pieces Request to Delete Request to Correct What role are you requesting the data as?* Consumer Employee Job Applicant Business-to-Business Contact Type of Request. If you have multiple requests, please submit each request through a new form.* Right to Access Request to Delete Request to Correct Permission to Contact* By checking this box, I hereby authorize ServiceMaster and its various brands to contact me to verify any information needed to successfully fulfill my request and to collect and store the information entered in this form for the purpose of documenting the request. Certify and Authorized Agent* I hereby certify that I am the person whose personal information is the subject of this request. (If you are not the subject of the request but are an authorized agent, please do not check this box, but complete the attestation below.) If you are an authorized agent acting on behalf of the subject making this request (the “Subject”), you must check this box and submit proof that the Subject has provided you written permission to submit this request, either in the form of a power of attorney or a written authorization signed by the Subject along with proof of the Subject’s identity. Please use the upload function below to provide any additional documentation for ServiceMaster and its various brands to use when reviewing your request.Accepted file types: pdf, Max. file size: 2 MB.PhoneThis field is for validation purposes and should be left unchanged.
